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Maureen A Spain, NP
Psychiatric/Mental Health Nurse Practitioner in Southaven, Mississippi
NPI 1194770024

Maureen A Spain is a Psychiatric/Mental Health Nurse Practitioner based in Southaven, MS and is specialized in Psychiatric/Mental Health. Maureen A Spain practices in Southaven, MS and has the professional credentials of NP. The NPI Number for Maureen A Spain is 1194770024 and holds a License No. APN7656 (Mississippi).

The current practice location address for Maureen A Spain is 8626 Airways Blvd, Southaven, MS and can be reached out via phone at 662-772-5937 and via fax at 662-772-5940. You can also correspond with Maureen A Spain through the mailing address at PO BOX 1980, SOUTHAVEN, MS - 38671-0023 (mailing address contact number: 662-772-5937).

Location: 8626 Airways Blvd, Southaven, MS, 38671-0023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194770024
Provider Name
Maureen A Spain
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8626 Airways Blvd, Southaven, MS, 38671-0023
Phone Number
662-772-5937
Fax Number
662-772-5940
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 MS SUBMITTING CREDENTIALING APPLICATIONS CURRENTLY
3495342 05 TN
institution
Provider Business Practice Location Address Details
Address
8626 Airways Blvd
City
Southaven
State
Mississippi
Zip
38671-2603
Phone Number
662-772-5937
Fax Number
662-772-5940
person
Provider Business Mailing Address Details
Address
8626 Airways Blvd
City
Southaven
State
Mississippi
Zip
38671-2603
Phone Number
662-772-5937
Fax Number
662-772-5940
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2009034350 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
363LN0000X
License No.
000196 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
APN7656 (Tennessee)
Definition
Definition to come...
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